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Clinical Externship

ST 250

Clinical Externship

ST 250

Course Description

Prerequisites: Prerequisites: ST 207, ST 210, ST 220, ST 230, ST 240, each with a minimum C (2.

0) grade, and consent of the Program Coordinator. Gains supervised clinical experience in hospital operating room suites. Evaluates each student's progress in the theoretical, behavioral, and practical application of concepts of surgical technology. Credit may be earned in ST 200 or ST 250 but not in both. (0-540)

Outcomes and Objectives

Demonstrate acceptable communication and language skills, critical thinking skills, interpersonal/collaborative skills, and information literacy.

Objectives:

  • Communicate in acceptable English and use medical terminology accurately and appropriately.
  • Integrate and correlate concepts from different courses, utilize both inductive and deductive reasoning skills, and demonstrate problem-solving skills in both hypothetical and clinical situations.
  • Work constructively within a group.
  • Demonstrate the ability to access, analyze, and use information from personal, print, media, and electronic resources to expand his/her understanding of subject matter.

Adhere to standard principles of aseptic technique, to the departmental policies of the affiliating institution, and to acceptable standards of behavior and interpersonal interactions.

Objectives:

  • Demonstrate appropriate employment behaviors, including acceptable attendance and punctuality and adherence to all hospital and departmental policies.
  • Display adherence to correct O.R. attire at all times.
  • Demonstrate adherence to principles of Standard Precautions and other measures for protection of self and others at all times.
  • Demonstrate correct and safe processing, wrapping and/or sterilization of supplies and equipment as appropriate to the department.
  • Demonstrate recognition of any breaks in sterile technique and the ability to take proper steps to correct them.
  • Demonstrate proper and safe disposition of all surgical supplies and equipment upon completion of the procedure and assist in room clean up as appropriate to departmental policies and practices.
  • Assist with stocking rooms and/or preparation for cases as appropriate to the department.
  • Demonstrate positive interpersonal skills, courtesy and consideration with patients, staff and physicians.
  • Communicate effectively and appropriately with staff and physicians.
  • Exhibit strict adherence to confidentiality of patient information at all times and in all situations.
  • Demonstrate a positive attitude regarding duties and responsibilities.
  • Demonstrate initiative, resourcefulness, and enthusiasm for new experiences.
  • Exhibit mature attitude, self-control, and adaptability in unfamiliar or stressful situations.
  • Demonstrate the ability to organize and complete work assignments within appropriate time frames.
  • Demonstrate cost consciousness and awareness of efficient utilization of supplies.
  • Exhibit a positive attitude toward evaluation of his/her performance, and toward any suggestions or corrections.
  • Show the ability to evaluate oneself, recognize one's own limitations, and seek appropriate assistance if needed.
  • Demonstrate appropriate selection and utilization of resources for enhancement of knowledge and skills.

Demonstrate competence in the Scrub role and, upon completion of this clinical experience course, the ability to scrub minor cases without assistance, and commonly performed major cases with minimal assistance.

Objectives:

  • Demonstrate correct scrubbing, gowning and gloving procedures.
  • Correctly gown and glove others.
  • Demonstrate proper set-up procedures, as appropriate to departmental practices and within acceptable time limits.
  • Assist in draping the patient without contamination.
  • Properly prepare the field for the commencement of surgery.
  • Demonstrate correct and safe passing of knives and other sharps, and their appropriate disposition after use.
  • Demonstrate proper passing of instruments, in position of use.
  • Demonstrate proper passing of ties, use of electrosurgical apparatus, and handling of chemical and mechanical hemostatic devices.
  • Maintain the supply of sponges on an exchange basis, appropriately discarding used sponges.
  • Demonstrate appropriate exchange of instruments between the Mayo stand and the back-table.
  • Maintain organization, efficiency and conservation of movements throughout the case.
  • Anticipate sequential patterns of instrument use.
  • Anticipate the needs of the surgeon, as appropriate to experience level.
  • Recognize and respond to hand signals.
  • Anticipate the need for additional supplies and properly receive sterile items from the circulator.
  • Demonstrate proper handling and operation of special equipment, including stapling devices.
  • Identify medications and solutions on the sterile field in an acceptable manner.
  • Demonstrate correct and safe handling of syringes and hypodermic needles.
  • Anticipate and properly prepare irrigation solutions.
  • Demonstrate accurate identification and appropriate care of specimens.
  • Select appropriate suture materials and sizes.
  • Demonstrate correct and safe handling, passing, and disposition of suture needles.
  • Properly prepare wound drains and dressings.

Demonstrate correct and safe Circulating duties as an assistant to staff Circulating personnel, as appropriate to the departmental policies and practices of the affiliating institution.

Objectives:

  • Correctly dispense sterile supplies onto a sterile field.
  • Assist with transportation of patients.
  • Assist with transfer of a patient on and off the operating table.
  • Assist with patient positioning for anesthesia and surgery.
  • Correctly perform a preoperative wash prep.
  • Correctly perform a bladder catheterization.
  • Anticipate the need for additional supplies during surgery.
  • Arrange discarded sponges for blood-loss estimate and for count.
  • Assist with filling out operative records and forms.
  • Demonstrate appropriate care of specimens, including culture media.
  • Perform appropriate counts in accordance with departmental policy.
  • Tape dressings after wound closure.

Demonstrate competence in performing the intraoperative functions of Second Assistant to the Surgeon.

Objectives:

  • Demonstrate proper sponging and suctioning techniques.
  • Hold retractors correctly and assist in providing wound exposure.
  • Cut sutures correctly.
  • Place skin staples with the surgeon.
  • Assist in the application of wound drains and dressings.